Individual
DR. MARTHA CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
121 WELLESLEY DR SE, ALBUQUERQUE, NM 87106-1443
(505) 266-0025
Mailing address
9600 TANOAN DR NE, ALBUQUERQUE, NM 87111-5837
(505) 822-0948
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
557
NM
103TC0700X
Clinical Psychologist
Primary
557
NM
Other
Enumeration date
03/15/2007
Last updated
02/11/2011
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